Ajd Medical Inc
Organization Active NPI Gastroenterology Physician · New Smyrna Beach, FL
NPI 1447595293 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1447595293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 82935 (FL)
- Legal business name
- AJD MEDICAL INC
- Practice address
- 501 Live Oak St
Suite B
New Smyrna Beach, FL 32168-7312 - Phone
- (386) 427-0390
- Fax
- (386) 427-0394
- NPI assigned
- Dec 5, 2012
- Organization subpart
- No
Authorized official
- Name
- Antonio Decarli
- Title
- Owner/Ceo
- Phone
- (386) 427-0390
Corporate family (same tax ID) 1
Practitioners 1
-
Antonio Decarli, M.D.
National Provider Directory
- Tax ID family
- Ajd Medical Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | 82935 | FL | Yes |
Addresses
Primary practice location
501 Live Oak St
Suite B
New Smyrna Beach, FL 32168-7312
Mailing address
501 Live Oak St
Suite B
New Smyrna Beach, FL 32168-7312
Phone (386) 427-0390
Other providers in New Smyrna Beach, FL
- Gaurav Ahluwalia
- Naveed Ahmad
- Saif Ahmed
- Rajesh K Ailani
- Ajd Medical Inc
- Ajd Medical LLC
- Ajd Medical LLC
- Akey Mobile Phlebotomy LLC
- Alba Court Development Group, LLC
- Jessica Albright
All providers in New Smyrna Beach, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.